Massive Bleeding From a Ruptured Superior Mesenteric Artery Aneurysm Into Duodenum

Maloney, Randolph D.; Nealon, Thomas F.; Roberts, Enrique A. Bonfils

doi:10.1001/archsurg.1976.01360210080016

Cited by 18 publications

(6 citation statements)

References 4 publications

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“…While not represented in our series, case reports in relatively younger patients have pointed to more rare etiologies of aneurysm formation in the SMA including rheumatic endocarditis (with superimposed subacute bacterial endocarditis) 10 , Brucella endocarditis 11 , and suppurative adenitis in a patient with no other clear source of septic emboli 12 . Traumatic SMAA has also been reported 13 . Less common etiologies include Behcet's disease 14 , Takayasu's arteritis 15 , segmental arterial mediolysis 16,17 , Ehlers-Danlos 18 , and fibromuscular dysplasia 19 .…”

Section: Discussionmentioning

confidence: 97%

Presentation and management of rare saccular superior mesenteric artery trunk and branch aneurysms

Sahajwani

Tolaymat

Khalifeh

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 97%

Presentation and management of rare saccular superior mesenteric artery trunk and branch aneurysms

Sahajwani

Tolaymat

Khalifeh

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

show abstract

“…Because these fi stulas are very uncommon, no evidencebased management guidelines are available. Table 1 summarizes all cases of fi stulization of the SMA (or its branches) and the duodenum published in the English medical literature (10)(11)(12)(13)(14)(15)(16)(17)(18). Most of these reported cases were treated either angiographically or by surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery-Duodenal Fistula Secondary to a Gunshot Wound

Fielding

Frandah

Krohmer

et al. 2016

Baylor University Medical Center Proceedings

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Arterioenteric fistulas are a rare cause of massive gastrointestinal hemorrhage. We present a patient who developed a fistula between a middle colic artery pseudoaneurysm, a proximal branch of the superior mesenteric artery (SMA), and the third part of the duodenum 2 weeks after a self-inflicted gunshot wound to the abdomen. The patient's presentation, evaluation, treatment, and prognosis are discussed. All prior published cases of SMA-duodenal fistulas are reviewed.

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“…2,3 Further, SMA aneurysmduodenal fistulas are especially rare, with very few reported cases. 4,5,6 Diagnosis can be made early if an abdominal mass or bruit is present. Abdominal ultrasonography and CT can be useful in identifying the aneurysm.…”

Section: Discussionmentioning

confidence: 99%

“…4,5,6 One was a traumatic false aneurysm of the superior mesenteric artery resulting from a gunshot wound that caused massive hemorrhage into the second portion of the duodenum. Resection and end-to-end anastomosis of the SMA was initially successful, but the aneurysm and hemorrhage recurred 3 months later.…”

Section: Discussionmentioning

confidence: 99%

Massive upper gastrointestinal bleeding due to a ruptured superior mesenteric artery aneurysm duodenum fistula

Zhao

2008

Journal of Vascular Surgery

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This case report describes sudden massive upper gastrointestinal bleeding due to a ruptured superior mesenteric artery aneurysm-duodenal fistula following mitral and aortic valvular replacement surgery due to infectious endocarditis. The superior mesenteric artery false aneurysm was diagnosed by computed tomography scanning. The intraoperative findings included a rupture at the trunk of superior mesenteric artery (SMA) and a perforation on the anterior wall of the third portion of the duodenum. The patient was treated by emergency surgery, which consisted of an interposition repair of the SMA with a saphenous vein graft for the superior mesenteric artery and a duodenojejunal Roux-en-Y anastomosis for the perforation of the duodenum. At 30-months follow-up, the patient is alive and well with no abdominal pain and eating a regular diet.

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Massive Bleeding From a Ruptured Superior Mesenteric Artery Aneurysm Into Duodenum

Cited by 18 publications

References 4 publications

Presentation and management of rare saccular superior mesenteric artery trunk and branch aneurysms

Presentation and management of rare saccular superior mesenteric artery trunk and branch aneurysms

Superior Mesenteric Artery-Duodenal Fistula Secondary to a Gunshot Wound

Massive upper gastrointestinal bleeding due to a ruptured superior mesenteric artery aneurysm duodenum fistula

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